HomeMy WebLinkAbout2721 YORK RD; ; 79-2671; PermitMODEL NO. __________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 t
Applicant to complete numbered spaces only Phone 7 29-1181 0e}~i=\~~r!9~1i~I ... 7 l ~i-~,. ,n
Joe ADDA css ASSESSOR'S
2721 York K.d. P ARCEL NUMBER
LOT NO, OL• I Tc~rlsbad
BOOK p3911 PAR.
L[CAL I
55 74-14
tAJ C ATTACHCO SH(ET)
167 33 1 OC.!>CR. Tract
OWN CR MAIL AOORCSS ZIP PMONC
2 Spring 2721 York Rd. 92008 !2,9~7
CONTRACTOR MAIL AOOACSS Ct ( i11-754"0 2'.S19462 STA\ Ll17680 _,.,t/i~ITY LIC. NO. 3 Design Unlimi ted 7185 Construction
ARCHITECT OA OC.SICNCA MAIL AOOACSS NC ~~;[NSCNO. ("' 4
[NGINECA
j in'/L AOORCSS
PHONE --L ICENSE NO,
5 J I
COMPENSATION INS. CARRIE~"' ij/'JJ J: Vr
1
MAIL AODRCSS BRANCH
6 Fintzelburg & te pme J 2820 University Ave. San Diego 92104
use O F BVILD/NG
7 NO. BORMS NO. BATHS
8 Class of work: 0 NEW Ga ADDITION 0 ALTERATI ON 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : Installation of spa.
10 Change of use from
()t~ ~ ·-( -Change of use to
11 Valuation of work: $ Ii 1J-V PLAN CH ECK FEE S I PERMIT FEE S ,;2./~ ~
SPECIA L CONDITIONS: / MICRO FILM FEE
Type of Occupancy
Const. Group
Soze o f Bldg. N o. of Ma~.
(Total) Sq. Ft. Stories 0cc. Load
/ Fire Use Fire Sprinklers
r11t
1
;;EPTED BY
PLANS CHECKED BY 11;;1,F011;1;F Zone Zone Required □Yes □No
OFFSTREET PARKING SPACES:
DATE /-v 1/2q No. of
'
No, Dwelling Units No. Covered Sq. Ft. Open
I f I NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB-PLANNING OEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT.
THIS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUC-
TION A U THORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD O F 120 DAYS AT ANY T IME AFTER WORK IS COM-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION A N D KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION S OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW R EGULATING CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
'>/:JAi A I ~ l.f)'(lM ,r ~ /-; J 7/23/79
5lGNATUR< 71 CONTAACTOf': Of': \UTHOf':IICO AGENT (OATC)
SIGMA.TUPI:[ OF OWN[Jil IF OWNCf': 8UILOEf':) OATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y OUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
:-11~ TOTAL FEES $ _ __,a5,_..,.._.._.. _____ _
BP TL
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL & J WEATHER PROOFING
CONCRETE SLAB /
FRAMING /
INT. LATHING OR DRYWALL /
~
EXT. LATHING /
MASONRY /
t\ /
~ ,
I ,... I
FINAL ~ JI I \/
USE SPACE BELOW FOY F:fj{!_ui
/ t \
PLUMBING PERMIT APPLICATIG>N:19 .oa p
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 79 -;;,. C, /,2_
Joe ADO .. css
2721 0 d.
LOT NO. I I LK j m'Earls L tGAL I 55 ct 74-J.4 (A) 1 ocsc•. r
OWNC .. M AIL AOOIIICSS Zt p PMONC
2 -_r.u " 2721 Yo .. " • 92 \; 7~)-!>147 t 9 I c: ,
co•'"e>fm~ rool5 MAIL Aoo .-css PMONC STATE LIC. NO. :'..T.!. -Cl~-~-1
3 ·---v" --·-__ ... 71L5 C ruction Ct.:. 271 .. 7,,40 3.&.:., ? ..., ----
All':CHITCCT Ollt OC51GNCllt M A.IL A0011t[55 PMONC L ICENSE NO.
4
CN GINCCllt MAIL A OOlltC55 PHONE LICCNSC NO,
5
COMPENSATION (NS. CARRIER M AIL A OOIICSS IJl:ANCM
6 el uC.. ... i 0 4 ~ 20 '1ivcra t}' . s Di 0 il.L
use 0~ BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: In la · 0 of spa.
PERM IT F EES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN )
SHOWER
I KITCHEN SINK & DISP.
I DISHWASHER
APP;)/JWj;;;V PLANS CHECKED BY A/P VEO FJR. ISSUANCE BY. LAUNDRY TRAY
'11 J i/, CLOTHES WASHER
OATi 1 1' 1 I lM'\ WATER HEATER -
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK O R CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 D AYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDO NED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM · SLOP SINK
ME N CEO. GAS SY STEMS:N O.OUTLETS .,. .,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
.,.
APPLICATION AND KNOW THE SAME TO BE TAUE ANO CORRECT. ALL PRO VISIONS OF LAWS ANO ORDINANCES GOVERNING THIS W ATER PIPING & T REATING EQUIP. ~ -TYPE OF W ORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTEACEPTO A HEREIN QA N OT, THE GRANT ING OF A PE AMIT DOES NOT PRESUME T O GIVE AUTHORITY T O VIOLATE Q A CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE QA LOCAL LAW REGULAT I NG CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL . SE PT I C TANK & PIT
(. .., -f, . I I --r;::, 1 /2.J/7 J ROOF DRAINS
51GNAT\li.tJ0' CONTRACTOR OR AUTHOltllE.0 ACE.NT (DA TCJ
ISSUANCE FEE $ ,
SICNATU IU. 0,. 0WN[llll I,. OWNCIII: BUILDER) OATC) TOTAL FEES $ . ., rl
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O . CA SH PERMIT VALIDATION CK . M.O. CA SH
INSPECTOR
7/2517" I
ELECTRICAL PERMIT APPLICATION 1.00 p
City of CARLSBAD, CALIFORNIA 92008 7,4 _ 2 6 7.3
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No /
JOB ADDRESS
2721 lor a .
I LOT NO, rLK. I TRACT (' ~EE ATTACHED SHEET) LEGAL 7 -1· 1 DESCR, 55 rl. Tract
OWNER MAIL ADDRESS ZIP PHONE
2 i-11'1~ 2721 Yor • 92 c .. 72 -5147 l%JJC,./
CONTRACTOR MAIL ADDRESS Ct..r~11:f547 } STATE LIC. NO. ..... ClTY .. L I.£, N~. 3 ....._;? u l it d 7185 C Ln! . on 31.)l' 2 .. ---
ARCHITECT OR DESIGNER MAIL ADDRESS ' ---~!!.2!:J; ... LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 I'..i.ut.. l ,..1r.., te t 2&2 Ut .Lversity V • s Dieao 2J.v4
USE OF BUILDING
7
8 Class of work: □NEW 0:A OOITION 0 ALTERATION 0 REPAIR
9 Describe work: Inst 11 tion of sp •
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE -~ t7 / .t., r-i..--
NEW CONSTRUCTION, FOR EACH
j;;r;:;;~O BY 'LANS CHECKED BY AP RO~t9 Fl R ;;,UANCE BY
AMPERES OF MAIN SERVICE, SWITCH,
I/ FUSE OR BREAKER
~11 ,'•'u
D TE w NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
¥,1, )I
PER 100
t. .(_ C(<..J..6 lc /.-fr J 7/23/71}
SIGNATURE O F CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE 2 d'✓
TOTAL FEES 7 v-7
C:lt:NATURE ni:-nwNER , ... OWNER BUILDER {DATE) -WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
{/
PLANNING DEPARTMENT
DATE· R ............. E_C __ E ______ I v------E=-=o
CITY OF CARLSBAD
Building Department
ZONE __________ LOT SI ZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UN I TS PROVIDED ____________ _
PARKING SPACES REQUIRED __________ PROVIDED ___________ _
-------------% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDE D -------
INTRUSIONS
-----------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION
SCHOOL FEES :
ADDITIONAL CO
PROVIDED
PROVIDED
REAR SETBACK:
AMOUNT :
OK TO ISSUE. TO FINAL ________ DATE. ____ _
ENGINEERING DEPARTMENT ,4;£11 (jg ~ ~ L/tJtJ ~
R.O.W ._~N~~----INDUSTRIAL WASTE -~Af~A-:L.._ ___ IMPROVEMENTS-'#-'-(\...,.,_ ____ _
SEWER CONNECTION A//J DRIVEWAY LOCATION S ___ t~J<-.Lll~---------
G RADIN G p ERM IT ~--, "'--'--"----E-A-S EM ENT s Mt1E Cw .VN DRAIN AG E-----'J'---_A.. __ _
LEGAL DE s CR Ip T ION s:-,tY""l ~ As A 3· ~ 1/"E'
, ADDITIONAL COMMENTS ____________________________ _
OK TO ISSuE J/1£1. DATE 22--:b•)'l PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SP RiliKLING SYSTEM ____________ FIRE PROTECTION EQ UIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISS UE : _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _